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Emergency War Surgery Course (EWSC)

Format: Resident

The EWSC establishes combat training competencies and coordinates training to develop and sustain DOD trauma surgeons, located in operational environments, military treatment facilities, or at a Level I trauma treatment facility. 

This course is intended for DOD trauma surgeons, orthopedic surgeons, surgical sub-specialties, and trauma nurses.

This course consists of didactic, classroom lectures, and laboratory practicum.  The trauma lectures cover war wounds, face, neck, ocular, head, thoracic, and spine trauma injury and management, abdominal trauma and damage control concepts and principles, combat soft tissue management, extremity fracture management, amputations, combat blood banking principles, pediatric trauma, peripheral vascular injuries, field critical care principles, mass casualty and triage principles, and burn management.  Each of these topics is re-explored in several labs where the participants practice surgical procedures on human cadavers and animal models.  Trauma simulations and interactive skill stations are set up for non-surgeons that train on chest thoracotomy, cricothyroidotomy, central line placement, interosseous placement, and intubations.  Specialized trauma scenarios focus on clinical practice guidelines in burn management, head injury management, massive transfusion, and hemorrhage control. Nurses are trained in negative-pressure wound therapy, ventilator management, Critical Care Air Transportation Team (CCATT) packaging, chest drainage systems, auto transfusion indications and devices, ventriculostomy and intracranial pressure monitoring, rapid infusion devices, and critical care simulation with multi-injury trauma patients. The course facilitators (general surgeons, orthopedic surgeons, and other surgical specialties) will guide and assist students to gain a better understanding of surgical treatment techniques unique to the care of the trauma injured patient in an austere environment.  This course will help surgeons understand the pathophysiology of war wounds to best care for the injured casualty. This course content is standardized among the three services by mutual agreement and sharing of curriculum.

The EWSC offers 17.5 CMEs. ASSET Offers 6.5 CMEs. Nurses can petition to convert CMEs to CEUs.

ATTRS Registration Instructions

This course is developed for surgeons and surgical sub-specialties, (e.g., Orthopedic Surgeons, General Surgeons, Med-Surgical Nurses, etc.). Non-surgeons are welcome to attend this course based on space available. 

Day 1

  • Course didactic for all participants: surgeons, non-surgeons, and nurses

Day 2

  • ASSET (Advanced Surgical Skills Exposure in Trauma)
    • Surgeons will perform the course skills  
    • Non-surgeons will be in supportive roles as auditors 
  • Nursing Skills Lab
    • Nurses will perform selected readiness skills in the simulation center

Day 3

  • Live tissue lab, all course participants will attend
    • Surgeons will perform course skills
    • Non-surgeons and nurses will be in supportive roles as auditors
    • Final course didactic will be presented
    • Post-course test will be administered
    • Certificates and CME will be provided

Steps for Each Service to Enroll in EWSC

All students must submit their requests through their respective service branch manager to get valid reservations in EWSC.

U.S. Army

  • All Army students must submit DA Form 3838 (Application for Short Course Training) and EWSC enrollment form to their Unit’s Training NCO to obtain a seat in the EWSC. 
  • The Training NCO will then forward the form to HRC.

U.S. Air Force

To receive credit and to obtain a seat in the EWSC, you will need to provide your enrollment form to your Air Force POC for enrollment in ATTRS. Contact Air Education and Training Command/Professional Specialty Training.

Send email training requests to:

U.S. Navy

To receive credit and to obtain a seat in the EWSC, you will need to provide your EWSC enrollment form to your Navy branch manager. 

  • Navy Medicine CeTARS/Quota Manager 
  • DSN: 420-9650 
  • Commercial: 1-210-808-9650 
  • FAX: 1-210-808-0500 

International Students

International students must contact the Foreign Affairs Office on Lackland AFB to coordinate travel, hotel, and base access.

Course Links

Upcoming Courses

Class Report Date Start Date End Date Locations
194 2019-08-12 2019-08-13 2019-08-16 Wilford Hall, SAMMC South
201  2019-11-04  2019-11-05  2019-11-07  Wilford Hall, SAMMC South 
202  2020-02-03  2020-02-04  2020-02-08  Wilford Hall, SAMMC South 
203  2020-05-11  2020-05-12  2020-05-14  Wilford Hall, SAMMC South 
204  2020-08-10  2020-08-11  2020-08-13  Wilford Hall, SAMMC South 

All course dates may be rescheduled if the minimum student quota requirement has not been met.  In the rare event of course cancellation or date change, DMRTI will notify all students as soon as changes are confirmed.  Confirmed registered students will have priority in the next course.

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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